there is no question many american doctors are not going to get involved with the affordable healthcare act. as talking points has said from the beginning of this controversy, it will be the doctors who will make or break obamacare. no doubt most americans will pay more for health insurance if the care was elevated that might be acceptable. if doctors are not available the whole thing will collapse. you know what? nothing president obama can do about that he can't force doctors into the obamacare program. until america's leader is in a tight spot. he knows it you know it right now his only solace may be up in the air. that's the memo. now for the top story tonight, reaction. joining us from new orleans, democrat james carville, do you agree that the doctor thing will make or break the new law. >> if you don't have enough doctors, that will. it's not a problem in massachusetts where law is essentially the same as the national law. and, you know, since medicare started, saying well we are going to opted out of medicare. won't take medicare patients and medicare is one of the most popular